Dr Jeremiah Gagnon, OD | |
710 W Superior St Ste B, Sandpoint, ID 83864-1684 | |
(208) 263-9000 | |
Not Available |
Full Name | Dr Jeremiah Gagnon |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 710 W Superior St Ste B, Sandpoint, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407549207 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODO-100614 (Idaho) | Primary |
Provider Name | Eye Care For You |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710042353 PECOS PAC ID: 5395765853 Enrollment ID: O20051129000484 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeremiah Gagnon, OD 710 W Superior St Ste B, Sandpoint, ID 83864-1684 Ph: (208) 946-7187 | Dr Jeremiah Gagnon, OD 710 W Superior St Ste B, Sandpoint, ID 83864-1684 Ph: (208) 263-9000 |
Dr. Terri L Haley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-7965 | |
Mountain Vision Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 514 Oak St, Sandpoint, ID 83864 Phone: 208-265-7965 Fax: 208-265-4510 | |
Dr. Don C. H. Henker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448 | |
Thomas Marvin Wiley, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1333 Superior St, Sandpoint, ID 83864 Phone: 208-265-4140 Fax: 208-265-4448 | |
Dr. Julie Beth Gagnon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 710 W Superior St, Ste A, Sandpoint, ID 83864 Phone: 208-263-9000 Fax: 208-263-9589 | |
Jason Petersen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 307 S 1st Ave, Sandpoint, ID 83864 Phone: 208-263-8501 |